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This file is created on 2020-01-23 05:00:21am

Introduction to the ISA


ISA Publications


Table of Contents


Imaging (Diagnostics, Interventions and Procedures)

Patient Clinical “Problems” (i.e., conditions)

Family Health History (Clinical Genomics)

Medical Device Communication to Other Information Systems/Technologies

Patient Identification Management

Segmentation of sensitive information

Healthcare Directory, Provider Directory

2020 ISA Reference Edition


Structure


Timeline and Comment Process


FAQs



Section I

Allergies and Intolerances

Representing Patient Allergic Reactions


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Representing Patient Allergies and Intolerances; Environmental Substances


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Representing Patient Allergies and Intolerances; Food Substances


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Representing Patient Allergies and Intolerances; Medications


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Clinical Notes

Representing Clinical Notes


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Cognitive Status

Representing Patient Cognitive Status


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Demographics

Representing Patient Contact Information for Telecommunications


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Representing Nutrition Assessment, Diagnosis, Interventions and Monitoring/Evaluation


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Emergency Medical Services

Representing Health Care Data for Emergency Medical Services


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Encounter Diagnosis, Assessment and Plan

Representing Assessment and Plan of Treatment


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Representing Patient Dental Encounter Diagnosis


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Representing Patient Medical Encounter Diagnosis


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Family Health History

Representing Patient Family Health History


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Functional Status/Disability

Representing Patient Functional Status and/or Disability


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Goals

Representing Patient Goals


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Health Care Providers, Family Members, and Other Caregivers

Representing Health Care Providers


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Representing Provider Role in Team Care Settings


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Representing Relationship Between Patient and Another Person


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Imaging (Diagnostics, Interventions and Procedures)

Representing Imaging Diagnostics, Interventions and Procedures


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Immunizations

Representing Immunizations – Administered


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Representing Immunizations – Historical


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Industry and Occupation

Representing Patient Industry and Occupation


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Laboratory

Representing Laboratory Tests


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Representing Laboratory Values/Results


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Medications

Representing Patient Medications


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Nursing

Representing Clinical/Nursing Assessments


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Representing Nursing Interventions


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Representing Outcomes for Nursing


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Representing Patient Problems for Nursing


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Patient Clinical “Problems” (i.e., conditions)

Representing Patient Clinical “Problems” (i.e., Conditions)


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Preferred Language

Representing Patient Preferred Language (Presently)


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Pregnancy Status

Representing Patient Pregnancy Status


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Procedures

Representing Dental Procedures Performed


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Representing Medical Procedures Performed


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Provenance

Representing Data Provenance


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Race and Ethnicity

Representing Patient Race and Ethnicity


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Research

Representing Data for Biomedical and Health Services Research Purposes


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Sex at Birth, Sexual Orientation and Gender Identity

Representing Patient Gender Identity


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Representing Patient Sex (At Birth)


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Representing Patient-Identified Sexual Orientation


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Social, Psychological, and Behavioral Data

Representing Alcohol Use


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Representing Depression


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Representing Drug Use


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Representing Exposure to Violence (Intimate Partner Violence)


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Representing Financial Resource Strain


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Representing Food Insecurity


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Representing Housing Insecurity


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Representing Level of Education


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Representing Physical Activity


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Representing Social Connection and Isolation


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Representing Stress


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Tobacco Use

Representing Patient Electronic Cigarette Use (Vaping)


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Representing Patient Second Hand Tobacco Smoke Exposure


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Representing Patient Tobacco Use (Smoking Status)


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Units of Measure

Representing Units of Measure (For Use with Numerical References and Values)


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Vital Signs

Representing Patient Vital Signs


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Section II

Admission, Discharge, and Transfer

Sending a Notification of a Long Term Care Patient’s Admission, Discharge and/or Transfer Status to the Servicing Pharmacy


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Sending a Notification of a Patient’s Admission, Discharge and/or Transfer Status to Other Providers


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Care Coordination for Referrals

Referral from Acute Care to a Skilled Nursing Facility


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Referral to a Specialist - Request, Status Updates, Outcome


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Referral to Extra-Clinical Services - Request, Updates, Outcome


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Care Plan

Documenting and Sharing Care Plans for a Single Clinical Context


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Documenting and Sharing Medication-Related Care Plans by Pharmacists


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Documenting Care Plans for Person Centered Services


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Domain or Disease-Specific Care Plan Standards


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Sharing Patient Care Plans for Multiple Clinical Contexts


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Clinical Decision Support

Communicate Appropriate Use Criteria with the Order and Charge to the Filling Provider and Billing System for Inclusion on Claims


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Provide Access to Appropriate Use Criteria


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Sharable Clinical Decision Support


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Clinical Quality Measurement and Reporting

Reporting Aggregate Quality Data for Quality Reporting Initiatives


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Reporting Patient-level Quality Data for Quality Reporting Initiatives


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Sharing Quality Measure Artifacts for Quality Reporting Initiatives


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Data Provenance

Establishing the Authenticity, Reliability, and Trustworthiness of Content Between Trading Partners


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Diet and Nutrition

Exchanging Diet and Nutrition Orders Across the Continuum of Care


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Drug Formulary & Benefits

Allows Pharmacy Benefit Payers to Communicate Formulary and Benefit Information to Prescriber Systems


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Electronic Prescribing

Allows a Long Term or Post-Acute Care to Request to Send an Additional Supply of Medication


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Allows a Pharmacy to Notify a Prescriber of Prescription Fill Status


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Allows a Pharmacy to Request a Change to a Prescription


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Allows a Pharmacy to Request a New Prescription For a New Course of Therapy or to Continue Therapy


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Allows a Pharmacy to Request Additional Refills


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Allows a Pharmacy to Request, Respond to, or Confirm a Prescription Transfer


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Allows a Prescriber or a Pharmacy to Request a Patient’s Medication History


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Allows a Prescriber to Cancel a Prescription


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Allows a Prescriber to Communicate Drug Administration Events


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Allows a Prescriber to Communicate with a REMS Administrator


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Allows a Prescriber to Prescribe Medication Using Weight-Based Dosing


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Allows a Prescriber to Recertify the Continued Administration of a Medication Order


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Allows a Prescriber to Request, Cancel or Appeal Prior Authorization for Medications


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Allows a Prescriber to Send a New Prescription to a Pharmacy


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Allows a Prescriber to Send a Prescription to a Pharmacy for a Controlled Substance


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Allows a Prescriber to Request a Patient’s Medication History from a State Prescription Drug Monitoring Program (PDMP)


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Allows for Communication of Prescription Information Between Prescribers and Dispensers